Quinault Indian Nation
A Medicare group practice based in Aberdeen, WA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2860836988), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2860836988
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
- Enrolled in
- TX
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20240216002038 | TX | Part B Supplier - Opioid Treatment Program (Otp) | 1881320711 |
| O20240412001895 | TX | Part B Supplier - Clinic/Group Practice | 1134842636 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Quinault Indian Nation
dba Quinault Wellness Center
- Student in an Organized Health Care Education/Training Program
- Aberdeen, WA
- NPI 1134842636
-
Quinault Indian Nation
dba Quinault Wellness Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Aberdeen, WA
- NPI 1881320711
-
Quinault Indian Nation
dba Quinault Wellness Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aberdeen, WA
- NPI 1124860283
Practice locations
- Aberdeen, WA2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (2).
-
Shamara Esaw, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Chico, CA
- NPI 1033993746
-
Daniel Glaze, ARNP
- Family Nurse Practitioner
- Odessa, WA
- NPI 1740891829
-
Aleksandr Anatolyevich Kasyanchuk
- Psychiatric/Mental Health Nurse Practitioner
- Port Orchard, WA
- NPI 1124805031
-
Colette M Kato, DO
- Addiction Medicine (Family Medicine) Physician
- Aberdeen, WA
- NPI 1598834798
-
Melissa Ann McFarland, ARNP
- Nurse Practitioner
- Aberdeen, WA
- NPI 1073748356
-
Jeanne Paul, LMFT
- Marriage & Family Therapist
- Tokeland, WA
- NPI 1699987487
-
Janette Sheppard
- Clinical Social Worker
- Aberdeen, WA
- NPI 1831858406
-
Sharon Gail Vanover Wuerth, MSN ARNP
- Family Nurse Practitioner
- Aberdeen, WA
- NPI 1821072356
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.